Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

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Source: medicare.gov

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

To be eligible for Medicare, one must be a legal permanent resident for the past five years or a U.S. citizen 65 years or older, or younger with a qualifying disability. If you are not a citizen of the United States, you can contact the Social Security Administration office to learn if you would be eligible.
Source: medicareconsumerguide.com

AARP® Medicare Supplemental Insurance by United Healthcare

Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company. If you’re considering a Medicare supplement plan, talking to an agent/producer may offer the direct assistance you’re looking for.
Source: aarpmedicaresupplement.com

Your Medicare coverage choices

There are 2 main ways to get your Medicare coverage— Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:
Source: medicare.gov

Medicare Nursing Home Profile

Posted by:  :  Category: Medicare

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Source: medicare.gov

Home for the Holidays: Leaving the Nursing Home During a Medicare

[1] Medicare Benefit Policy Manual, Pub. 100-02, Ch. 8, §30.7.3. (Example, second paragraph) (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf). Scroll down to page 43. [2] Medicare Benefit Policy Manual, Pub. 100-02, Ch. 8, §30.7.3. (Example, second paragraph) (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf). Scroll down to page 43. [3] Medicare Benefit Policy Manual, Pub. 100-02, Ch. 8, §30.7.3. (Example, third paragraph) (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c08.pdf). Scroll down to page 43. [4] Medicare Benefit Policy Manual, Pub. 100-02, Ch. 3, §20.1.2. (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c03.pdf). Scroll down to page 4. [5] Medicare Claims Processing Manual, Pub. 100-04, Ch. 6, §40.3.5.2. (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c06.pdf). Scroll down to page 45. Note, unlike Medicaid in some states, the Medicare program does not provide any payment for "bed-hold." [6] Medicare Claims Processing Manual, Pub. 100-04, Ch. 6, §40.3.5.2. (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c06.pdf). Scroll down to page 45. [7] Medicare Claims Processing Manual, Pub. 100-04, Ch. 1, §30.1.1.1 (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c01.pdf). Scroll down to page 48.  CMS cites, as authority for this payment option, the Nursing Home Reform Law, 42 U.S.C. §1395i-3(c)(1)(B)(iii), and 42 C.F.R. §483.10(b)(5)-(6). [8] Medicare Claims Processing Manual, Pub. 100-04, Ch. 1, §30.1.1.1 (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c01.pdf), scroll down to page 48. [9] Medicare Claims Processing Manual, Pub. 100-04, Ch. 1, §30.1.1.1 (http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c01.pdf). Scroll down to pages 47-8.
Source: medicareadvocacy.org

2017 Medicare Co Pays for Nursing Home Care

Do you know your rights to nursing home coverage under Medicare? Medicare Part A pays for inpatient hospital care, and then for care in a skilled nursing facility IF the patient has a "qualified" hospital stay of at least 3 days (not counting day of discharge) before being admitted to the skilled nursing facility. In a February 2, 2017 decision, the federal judge overseeing the Medicare "Improvement Standard" case (Jimmo v. Burwell) ordered the Secretary of Health & Human Services to make it possible for nursing homes to comply with the Settlement, so discharged hospital patients can get rehabilitation.
Source: masshealthhelp.com

South Haven nursing home to lose Medicare, Medicaid services

John Matson, a spokesperson with the Alabama Nursing Home Association, said the next step when this sort of thing happens is to help residents who are losing coverage find another location that will best serve their needs. Although the facility was not willing to confirm how many residents it had or what percentage of residents are affected by the loss in coverage, ADPH said the facility has 65 residents. Matson said 67 percent of seniors use Medicare for nursing home coverage and that many use Medicare for rehabilitation services. 
Source: wsfa.com

Ask Ms. Medicare: Paying for Nursing Home Care, Different Roles of Med…

You can get a lot of information from your state’s heath insurance assistance program (SHIP), which is a public service that provides personal help from trained counselors on all Medicare and Medicaid issues at no charge. To find SHIP counselors in the state where you or your family member is living in a nursing home (or will soon enter one), go to the SHIP website. SHIP counselors could also put you in contact with an elder law attorney if you need one. * Note: The new health care law does introduce a new voluntary insurance program that allows working people to contribute money from their earnings in return for daily cash payments later on if they develop a disability or a medical condition that impairs daily living activities. The payments can be used toward the cost of assistance in your home, in an assisted living facility or in a nursing home. But they wouldn’t be enough to cover the full costs of permanent residency in a nursing home. This program (known as the CLASS Act) is still being organized and full details of when it will begin and how it will work are not yet known. For more information, see AARP’s fact sheet.
Source: aarp.org

Medicare Coverage of Home Health Care

If you are interested in home health care after a stay in the hospital, or as an alternative to a stay in a hospital or nursing facility, contact a home health care agency recommended by your doctor or the hospital discharge planner. The discharge planner can even contact an agency for you. You may also get help in locating home health care agencies from a community health organization, visiting nurses association, United Way, Red Cross, or neighborhood senior center. Medicare.gov lists home health care agencies in your area and allows you to compare the quality of their service depending on past performance.
Source: nolo.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Get Medicare Part D Quotes in Seconds

As could be expected, prices for Humana policies rocketed for the 2015 calendar year. Mean premiums for Humana Part D jumped from $21.80 to $38.70. Medicare Part D is priced at $41.55 and Part D Medicare comes in at the slightly lower price of $38.80. Humana’s standalone market share coverage has dropped to 18.6% whereas their Medicare Part D policies have increased to a market share of 12.8%.
Source: medicareaide.com

Arkansas Blue Cross and Blue Shield

Linking Disclaimer By selecting “Continue,” you will be exiting the Arkansas Blue Cross and Blue Shield (ABCBS) website. If you choose to access other websites from this website, you agree, as a condition of choosing any such link or access, that ABCBS is not and shall not be responsible or liable to you or to others in any way for your decision to link to such other websites. You further agree that ABCBS and its affiliates, its directors, officers, employees and agents (“the ABCBS Parties”) are not responsible for the content of any other website to which you may link, nor are ABCBS or the ABCBS Parties liable or responsible under any circumstances for the activities, omissions or conduct of any owner or operator of any other website. Once you choose to link to another website, you understand and agree that you have exited this website and are no longer accessing or using any ABCBS Data. You understand and agree that by making any third-party website link available as an option to you, ABCBS does not in any way endorse any such website, nor state or imply that you should access such website or any services, products or information which may be offered to you through such other websites or by the owner or operator of such other websites. The owners or operators of any other websites (not ABCBS) are solely responsible for the content and operation of all such websites. ABCBS makes no warranties or representations of any kind, express or implied, nor of merchantability or fitness for a particular purpose, nor of non-infringement, with regard to the content or operation of any other website to which you may link from this website.
Source: arkbluecross.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Card Information

It is very important to note that your Medicare card should be carefully guarded. Just as you would protect a credit card or your Social Security card, you should guard your Medicare card in the same fashion, as it contains sensitive information. In the wrong hands, such information as your name, signature and Social Security number could be copied or stolen. It could then be used to steal your identity (identity theft) or commit Medicare fraud. Therefore, only provide your Medicare card or information to hospitals and your direct health care providers.
Source: medicare.net

Understanding Your Medicare Card

with costs, so they may call you to ask for the missing information. They will only ask you for the information that’s missing from the application. Do not give out any other information. If you are not sure the person who is calling you is actually with the Social Security Administration, call the Social Security Administration back at 1-800-772-1213 (TTY users call 1-800-325-0778), and they should be able to confirm the call was legitimate.
Source: mymedicarematters.org

Southeast Louisiana Home Health

Posted by:  :  Category: Medicare

At Southeast Louisiana Home Health, we are proud to be the oldest home health care agency in Washington Parish and one of the oldest in the state. We have been caring for the citizens of Southeast Louisiana for 40 years. We are locally owned and operated with office locations in Bogalusa, Covington, Franklinton and Metairie, and we serve patients in the North Shore, New Orleans, Kenner, Slidell, and surrounding areas. Our caring and compassionate staff are local people who have chosen to serve their community. With 40 years in the home health business and a combined staff experience of 150+ years in health care, SELAHH is Louisiana’s premier home health agency. We provide all the benefits of a big corporation but treat you like family. Our business is Caring For You! If you or a loved one could benefit from home health care, please call us for a free evaluation. One of our friendly staff members will be happy to discuss your options and assist you in getting the proper care for your needs. Call toll free 1-800-479-4712
Source: southeastlouisianahomehealth.com

Medicare.gov: the official U.S. government site for Medicare

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Source: medicare.gov

Medicare Advantage Plans for Louisiana

In the report, the scientists covered many aspects about genetically engineered crops. They looked at how they may affect the environment and society. They also focused on human health. From their review, they found that these foods are safe to eat. Animal studies have shown no ill effects. And more important, these foods have not been linked to higher rates of any diseases. That includes cancer, diabetes, celiac disease, and autism.
Source: peopleshealth.com

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

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Source: medicare.gov

Medicare Information and Plan Comparisons

While health care was not central to the 2016 Presidential campaign, the election’s outcome will be a major determining factor in the country’s future health care policy. A number of issues have garnered media attention, including the future of the Affordable Care Act (ACA), rising prescription drug costs, and the opioid epidemic.
Source: medicare.org

Medicare Coverage Explained

Skilled Nursing Facility (SNF) Care Semi-private room, meals, skilled nursing and rehabilitative services, and other services and supplies are covered, but only after a related three day hospital stay. Note that medicare does not cover “custodial care.” Custodial care is care that helps you with usual daily activities such as walking, eating, or bathing. This type of care is often given in a nursing home but is not covered by Medicare. Similarly, assisted living care is not covered by Medicare. Alternate methods of paying for custodial care include private pay, Medicaid or long-term insurance.
Source: aplaceformom.com

Ohio Department of Insurance

Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). In Ohio, the Ohio Department of Insurance provides Medicare beneficiaries with free, objective health insurance information and one-on-one counseling through a program called the Ohio Senior Health Insurance Information Program (OSHIIP). OSHIIP’s hotline experts, speaker’s bureau, and trained volunteers educate consumers about Medicare, Medicare prescription drug coverage (Part D), Medicare Advantage options, Medicare supplement insurance, long-term care insurance, and other health insurance matters. Contact OSHIIP at 1-800-686-1578.
Source: ohio.gov

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

Secure Horizons Medicare Insurance

Posted by:  :  Category: Medicare

You may also find that it is more convenient to receive Medicare benefits from a private insurer. In this case, you can purchase a Medicare Advantage Plan through Secure Horizons that works separately from Original Medicare. This type of plan, which is marketed as MedicareComplete, MedicareComplete Choice, MedicareDirect, and MedicareComplete Special Needs, provides all of the benefits associated with Original Medicare yet offers other incentives, such as the option to choose specialists or doctors in specific organizations. These plans include Preferred Provider Organizations, Health Maintenance Organizations, and Private Fee-for-Service plans as well.
Source: medicaresolutions.com

Blue Medicare PPO and Blue Medicare HMO Providers

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Peach State Health Plan Medicare Providers

Advantage by Peach State Health Plan HMO SNP is a Coordinated Care plan with a Medicare contract and a contract with the Georgia Medicaid program.  Enrollment in Advantage by Peach State Health Plan depends on contract renewal.
Source: pshpgeorgia.com

Find & compare doctors, hospitals, & other providers

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Source: medicare.gov

Medicare Savings Programs

Posted by:  :  Category: Medicare

To make sure your provider knows you have QMB, show both your Medicare and Medicaid or QMB card each time you get care. If you get a bill for medical care Medicare covers, call your provider or plan about the charges. Tell them that you have QMB and can’t be charged for Medicare deductibles, coinsurance and copayments. If this doesn’t resolve the billing problem, call 1-800-MEDICARE (1-800-633-4227). 
Source: medicare.gov

Medicaid and the Medicare Savings Programs 2016

Applications for these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. Or, you may print the application form from the link below. All applications for the Medicare Savings Program must be mailed to the local Department of Social Services where you live. The phone number and address for the local Department of Social Services may be found in the government pages of the telephone book.
Source: ny.gov

Contact Information and Websites of Organizations for Medicare

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Source: medicare.gov

UPPER CUMBERLAND DEVELOPMENT DISTRICT

Both programs work hand in hand to assist all Tennesseans with their questions and concerns about Medicare issues. Working through federally funded grants from Centers for Medicare and Medicaid Services and Administration on Aging, SHIP and SMP is administered throughout the nine Area Agencies on Aging and Disability.
Source: tnmedicarehelp.com

Medicare Savings Programs Help Pay Medicare Costs for Qualified Low

To be eligible as a Qualified Medicare Beneficiary (QMB), your income must be no more than slightly above the Federal Poverty Guidelines (FPG), or Federal Poverty Level (FPL). This figure is established each year by the federal government; in 2017, the poverty level is $12,060 per year for an individual and $16,240 per year for a married couple. These figures are somewhat higher in Alaska and Hawaii. It’s important to know, however, that certain amounts of income are not counted in determining QMB eligibility. Particularly if you are still working and most of your income comes from your earnings, you may be able to qualify as a QMB even if your total income is almost twice the FPG. QMB follows the SSI guidelines on what income that should be counted, which means roughly half of your income from work is not counted. If, after applying these rules, the figure you arrive at is anywhere close to the QMB qualifying limit ($1,025 in monthly countable income in 2017), it is worth applying for it.
Source: nolo.com

Medicare 2017 costs at a glance

Posted by:  :  Category: Medicare

The standard Part B premium amount in 2017 is $134 (or higher depending on your income). However, most people who get Social Security benefits pay less than this amount. This is because the Part B premium increased more than the cost-of-living increase for 2017 Social Security benefits. If you pay your Part B premium through your monthly Social Security benefit, you’ll pay less ($109 on average). Social Security will tell you the exact amount you’ll pay for Part B in 2017. You’ll pay the standard premium amount if:
Source: medicare.gov

Medicare.gov: the official U.S. government site for Medicare

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Source: medicare.gov

Costs for Medicare drug coverage

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Source: medicare.gov

New Medicare Benefits and Changes for 2011

Posted by:  :  Category: Medicare

Once your total drug costs reach $4,550 (see the Ms. Medicare column "Paying Less for Drugs in the Doughnut Hole" for details about how this is calculated), you are eligible for "catastrophic coverage" and your prescription costs drop to a lower copay for the remainder of the year. Last year, when there were no doughnut-hole discounts, $250 rebate checks were sent to all affected Part D subscribers. Because of the discounts now in place, there will be no rebate checks for 2011 expenses. Another 2011 change for Part D subscribers is that if you have a high annual income (more than $85,000 for individuals and $170,000 for couples) and pay higher-income premiums for Part B, you’ll also pay a higher premium for Part D drug coverage.
Source: aarp.org

Medicare.gov: the official U.S. government site for Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Annual Statistical Supplement, 2011

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

2011 Medicare Advantage Plan Benefit Details

Or select your state below to browse the Medicare Advantage Plans (also known as Medicare Health Plans) available AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY
Source: q1medicare.com

Everything You Need to Know About Medicare

Part A: Monthly premiums for Part A are free for people who have worked more than 40 quarters (10 years) of Medicare-taxed employment. Their spouses, and sometimes their former spouses and widows, are also eligible for free premiums. Those who have worked less than that will pay hundreds of dollars every month. For 2016, that is as much as $226 per month for 30-39 quarters to $411 per month for less than 30 quarters of work. Additional Part A costs include a $1,288 deductible in 2016 for each hospital stay, copayments for hospital stays longer than 60 days, and copayments for skilled nursing facility stays longer than 20 days.
Source: verywell.com

Medicare Coverage Overview 

Hopefully, you now have a better idea of all the different types of Medicare coverage that may be available to you. If you’re still trying to figure out what may work best for your situation, you might start by considering the different factors that are important to you. For example, do you travel frequently and prefer to not have to worry about provider networks? Under Original Medicare, you can get health-care services from any doctor or provider that is enrolled in the Medicare program and accepts Medicare. Keep in mind that your costs will be lowest if the provider accepts assignment, meaning that he or she agrees to accept the Medicare-approved charge for that service as full payment and not charge you above that amount (aside from cost sharing).
Source: medicare.com